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Individual

MRS. ABBIE LYNN INGRAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.-C

Contact information

Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 983-4537
(617) 983-4534
Mailing address
209 WARREN RD, FRAMINGHAM, MA 01702-5962
(617) 466-9506

Taxonomy

Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
BOH-22-BAP-02
MA
363A00000X
Physician Assistant
AP2485
MA

Other

Enumeration date
03/18/2008
Last updated
06/10/2022
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